Hemochromatosis-associated arthropathy

Case contributed by Dr Chris O'Donnell

Presentation

Severe hand and feet pain

Patient Data

Age: 65 years
Gender: Male
X-ray

Hands and wrists

Gross arthritic change in the MCPs with hook osteophytes (arrows) and relative sparing of the 1st metacarpal bases as well as the DIPs and PIPs.

X-ray

Feet and ankles

Ankles are also arthritic with hook osteophytes especially involving the talo-navicular articulations.

Case Discussion

Long-standing, biopsy proven hemochromatosis. 

It is difficult to separate primary osteoarthritis and hemochromatosis-associated arthropathy. The major distinguishing features are patients being younger males with affected joints being the wrists and MCPs, whereas osteoarthritis affects the first MCP base as well as the PIPs and DIPs in a patient population of older women. Hook or beak-like osteophytes are a feature of hemochromatosis.

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Case information

rID: 58172
Published: 5th Feb 2018
Last edited: 22nd Oct 2020
Inclusion in quiz mode: Included

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